J.Jpn. Surg. Soc.
ISSN 1880-1129

[Abstract] [Full Text PDF] （in Japanese / 695KB） [Members Only And Two Factor Auth.]

J.Jpn. Surg. Soc.. 93(3): 232-240, 1992

Original article

THE EXPERIMENT AND CLINICAL EVALUATION OF CHEMOSENSITIVITY TEST FOR ESOPHAGEAL AND GASTRIC CANCER BY ATP ASSAY USING ENDOSCOPIC BIOPSY

Department of Surgery, Research Institute for Nuclear Medicine and Biology, Hiroshima University, Hiroshima, Japan

Kazuaki Kawano

The chemosensitivity test for esophageal and gastric cancer cells collected by endoscopic biopsies before operation was investigated for evaluation by ATP assay. Experimentally, ATP assay was applied in human esophageal and gastric cancer cell line transplanted in nude mice. ATP level was measured by Lumiphotometer and showed positive linear correlation with the number of cancer cells in more than 103 AlsoATP level increased when more than 103 cancer cells were cultured for more than 48 hours. On the other hand, more than 103 cancer cells were indicated to be collected by endoscopic biopsies, experimentally.
Clinically, 7 specimens collected by endoscopic biopsy and 5 anticancer age~ts (MMC, CDDP, 5-FU, ADM and BLM) were used for the test. Forty-nine cases, 31 cases of esophageal cancer and 18 cases of gastric cancer were subjected to the study. The evaluability rates were 93.8%, respectively. Over-all predictive accuracy for esophageal cancer between the clinical responses and results of the assay was 72.0%.
These results suggested the usefulness of biopsy specimens for the chemosensitivity test of anticancer agents.

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